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Year : 2015  |  Volume : 4  |  Issue : 2  |  Page : 103-107

Solid pseudopapillary tumor of the pancreas

1 Department of Oncosurgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India
2 Department of Surgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India

Correspondence Address:
Nihal Ahemad
Room No. 5, 17th Block, VIMS Hostel, Cantonment, Bellary - 583 104, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-344X.153631

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The solid pseudopapillary tumor of the pancreas (SPPT) is an unusual low-grade malignant epithelial tumor affecting predominantly adolescent girls and young women, usually misdiagnosed as pancreatic pseudocyst. Although approximately 500 cases of SPTP have been described in the last 40 years, its pathogenesis remains uncertain. However, the clinical features of this neoplasm are very characteristic and SPPT must be suspected in any young woman with a cystic or partially cystic pancreatic mass. The most frequent symptom of SPPT is upper abdominal pain seen in nearly half the patients. The differential diagnosis of SPPT includes pseudocyst of pancreas, neuroendocrine tumor and ductal adenocarcinoma of pancreas. Diagnosis of SPPT is usually made only after operative biopsy. Surgical excision offers the best chance for cure and should always be attempted irrespective of the magnitude of resection involved. This case report highlights the importance of awareness of SPPT as a distinct class of pancreatic tumor in young females with excellent prognosis.

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